334 - Skin and Hormones

Sep 7, 2025

Dive into the fascinating connection between menopause, hormones, and skin health. Discover how estrogen levels impact skin quality, leading to changes in elasticity and moisture. The discussion emphasizes the importance of hormone replacement therapy in improving these effects. Misconceptions about hormone therapy are challenged, highlighting the need for better education. Learn about Dr. Kelly Casperson's upcoming book tour and the essential conversations around women's health and wellness that are long overdue.

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ADVICE

Topical Low‑Dose Estrogen For Skin

Use topical low‑potency estrogen (eg, estriol 0.3% one gram daily) for facial skin to improve hydration and collagen.
Discuss compounded, face‑specific formulations with your clinician rather than using systemic gels meant for other sites.

ANECDOTE

Personal Results From Estriol Use

Dr. Kelly Kasperson began using topical estriol and noticed visible skin improvement within months when others commented.
She later started a patient who received unsolicited public compliments about her skin.

INSIGHT

Prevention Vs. Cosmetic Acceptance Paradox

Cosmetic spending on facelifts and fillers contrasts with reluctance to use bioidentical hormones that replace what the body naturally produces.
This reflects societal risk‑benefit inconsistency around prevention versus correction of aging.

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Episode 334 of the You Are Not Broken podcast, Dr. Kelly Casperson discusses her upcoming book tour for 'The Menopause Moment' and dives into the relationship between menopause, hormones, and skin health.

She emphasizes the importance of understanding how hormonal changes during menopause affect skin quality and overall health, advocating for the use of hormone replacement therapy (HRT) to mitigate these effects. The conversation highlights the need for better education on the benefits of hormones and challenges misconceptions surrounding their use.

Takeaways

The Menopause Moment book is available for pre-order.
Estradiol and Estriol can be beneficial for skin health.
Skin changes during menopause are significant and often distressing.
Hormones play a crucial role in skin quality and health.
There is a lack of awareness about the effects of low hormones on skin.
HRT can improve skin elasticity and hydration.
Many women are not informed about hormone therapy options.
The decline in estrogen leads to decreased collagen and moisture in the skin.
Preventative health measures should be supported, including hormone therapy.

Skin Paper by Viscomi et al

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